Lifestance Health Group Inc.

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

Legal business name

LIFESTANCE HEALTH GROUP INC.

Practice address

1010 Lake St Ste 110
Oak Park, IL 60301-1106

Phone

(855) 521-2041

NPI assigned

Feb 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Pardo, J.D.

Title

Chief Attorney

Phone

(480) 701-9873

Specialties & licenses 1

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garth W Amundson, PSY.D.

  • Clinical Psychologist
  • Oak Park, IL
  • NPI 1629133996
  NPD
• Brendan Crotty

  • Social Worker
  • Oak Park, IL
  • NPI 1568272102
  NPD
• Anissa L Murphy

  • Professional Counselor
  • Oak Park, IL
  • NPI 1770205213
  NPD
• Lilah Mia Alkaissi, LSW

  • Social Worker
  • Oak Park, IL
  • NPI 1356269468
  NPD (past)
• Lorena Alexsandra Bravo-Molina, LSW

  • Clinical Social Worker
  • Oak Park, IL
  • NPI 1972380343
  NPD (past)
• Charnell Montgomery

  • Psychologist
  • Oak Park, IL
  • NPI 1770307357
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1144025149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NORTH CHRISTIANA AVENUE",
            "address_2": "HARBOR LIGHT - UNIT 353",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60651",
            "telephone_number": "320-321-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST STE 110",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011106",
            "telephone_number": "855-521-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTANCE HEALTH GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF ATTORNEY",
        "authorized_official_telephone_number": "480-701-9873",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Simon Licup, O.D.
• Caitlin Liddle, LCSW
• Sophie Lieberman
• Margaret Bracco Liebreich, P.T.
• Lifespan Counseling and Psychological Services, LLP
• Nathaniel Lim, DDS
• Makis G Limperis, MD
• Barbara Lin, DDS
• Esteban Linarez, M.D.
• Linda S. Lambert

• Psychoanalysis Psychologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Psychoanalysis Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.